Ati pn adult medical surgical 2023 proctored exam
A nurse is collecting data from a client who has Graves' disease. Which of the following images should the nurse identify as an indication that the client is experiencing exophthalmos?
Explanation & Rationale
A. The top image shows a client's neck with a visible swelling in the area of the thyroid gland, which is consistent with goiter, another common finding in Graves' disease, but is not exophthalmos. B. The middle image shows a hand, which is not relevant to the ocular manifestations of this condition. C. The bottom image shows the client's eyes with a noticeable bulging appearance and retracted eyelids, making the whites of the eyes visible above and below the iris. This is the characteristic clinical appearance of exophthalmos
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